To ensure that people with dementia are supported and cared for as well as possible, dementia care plans are often put into place at various stages throughout the progression of the disease. Below is a summary of some of the care plans that may be introduced.
Advanced care plans
Advanced care plans were introduced as part of the Mental Incapacity Act of 2005. Advanced care plans allows someone to have their preferences and wishes recorded for a time when they may no longer have the capacity to make their wishes known. An advanced care plan may include any or all of the following aspects:
- An advance statement is a written statement that sets down a person’s preferences, wishes, beliefs and values regarding their future care. It’s not legally binding.
- An Advance Decision (sometimes known as an advanced decision to Refuse Treatment (ADRT) or a living will) is a legally binding decision that allows someone aged 18 or over, while still capable, to refuse specified medical treatment for a time in the future when they may lack capacity to consent to or refuse that treatment.
- Lasting Power of Attorney, is someone who you appoint to act on your behalf in connection with either your Health & Welfare and/or your Property & Affairs. Click here for more information on Lasting Power of Attorney.
Person centred care plans
As the name suggests person centred care plans are tailored to the individual. The 4 key principals involved in a person centred care plan are:
- The plan is designed to treat people with dignity, compassion and respect.
- That the individual is provided with coordinated care, support and treatment.
- That the individual is provided with personalised care, support and treatment.
- The plan is designed to enable people to recognise and develop their strengths and abilities.
Many care homes and nursing homes adopt a person centred care plan approach as did the care home where Mum lived for the last 3 years of her life.
Emergency health care plans
Emergency care plans provide concise, relevant, rapidly accessible clinical recommendations for use in an emergency
End of life care plans
End of life care plans, which are sometimes referred to as comfort care plans aim to help and support a person to live as well as possible until death. End of life care plans will include details information about:
- A person’s physical condition including any pain or discomfort.
- How they are feeling and what makes them content.
- A person’s relationships, who are close to them and who they would wish to be present at end of life.
- A person’s spiritual needs and beliefs.
Many people are involved in end of life care including GPs, community nurses and / or care home staff.
Palliative care plans
Palliative care aims to maintain a person’s quality of life by relieving any discomfort or distress at the end of life. More specialised care professionals from a hospice or hospital tend to be involved in palliative care.
I wish we had requested palliative care for Mum in the last few days of her life, as the care home didn’t have enough resources to spend checking Mum was comfortable.